Tri Med Bracing & Foot Centers, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRI MED BRACING & FOOT CENTERS, LLC

Practice address

2375 Wall St SE
240 #52
Conyers, GA 30013-6702

Phone

(877) 933-4848

NPI assigned

Jun 26, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Devyani Dhanik

Title

Owner

Phone

(877) 933-4848

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1295352177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 WALL ST SE",
            "address_2": "240 #52",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136702",
            "telephone_number": "877-933-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WALL ST SE",
            "address_2": "240 #52",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136702",
            "telephone_number": "877-933-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI MED BRACING & FOOT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "DHANIK",
        "authorized_official_first_name": "DEVYANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-933-4848"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Conyers, GA
• Providers in Conyers, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.